Seen but Not Heard: Dissent-Proof Design and the Quiet Override in Dementia Surveillance.
The article critically examines the ethical implications of wearable tracking devices used in dementia care, focusing on a case where a resident, Mr. Jenkins, is fitted with a location-tracking bracelet relocated from wrist to ankle to reduce his distress. This relocation conceals the device from hi...
| Publicado en: | American Journal of Bioethics Vol. 26; no. 9; pp. 167 - 171 |
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| Autor principal: | |
| Formato: | commentary Journal Article |
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Taylor & Francis Ltd
Sep2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=196514653&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 196514653 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15265161 FKZ jtl: American Journal of Bioethics issn: 15265161 maglogo: N pubinfo: dt: Sep2026 vid: 26 iid: 9 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 196514653 196514653 196514653 10.1080/15265161.2026.2710265 196514653 ppf: 167 ppct: 4 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Seen but Not Heard: Dissent-Proof Design and the Quiet Override in Dementia Surveillance. aug: au: Yang, Y. Tony affil: The George Washington University sug: subj: Dementia Therapy Patient Safety Relational Autonomy Privacy and Confidentiality Ethics, Medical Geographic Information Systems Residential Care Disease Surveillance Politics Bioethics Patient Rights Equipment Design Ethical Issues Residential Facilities Nonverbal Communication ab: The article critically examines the ethical implications of wearable tracking devices used in dementia care, focusing on a case where a resident, Mr. Jenkins, is fitted with a location-tracking bracelet relocated from wrist to ankle to reduce his distress. This relocation conceals the device from his awareness, effectively silencing his nonverbal refusal and transforming his autonomy into compliance through what the author terms "dissent-proofing"—design strategies that minimize opportunities for residents to express refusal. The article advocates for a "dissent-by-design" approach that preserves and respects the capacity to refuse by making removal a protected, communicative act, ensuring responsive channels for resident-initiated signals, and maintaining perceptibility of devices to uphold spatial liberty. It also highlights the need for ethical safeguards, including strict data-use limitations and adequate staffing to respond to dissent, emphasizing that true ethical surveillance must allow residents not only to be seen but also to refuse and be heard. pubtype: Academic Journal doctype: commentary Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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